An older adult has encouraged her husband to visit their primary care provider, stating that she is concerned that he may have Parkinsons disease. Which of the wifes descriptions of her husbands health and function is most suggestive of Parkinsons disease?- Skildor

Question 1 of 5

An older adult has encouraged her husband to visit their primary care provider, stating that she is concerned that he may have Parkinsons disease. Which of the wifes descriptions of her husbands health and function is most suggestive of Parkinsons disease?

A. Lately he seems to move far more slowly than he ever has in the past. B. He often complains that his joints are terribly stiff when he wakes up in the morning. C. Hes forgotten the names of some people that weve known for years. D. Hes losing weight even though he has a ravenous appetite.

Correct Answer: A

Rationale: The correct answer is A because one of the hallmark symptoms of Parkinson's disease is bradykinesia, which is characterized by slowness of movement. This symptom commonly presents as a person moving far more slowly than usual. Option B is more indicative of arthritis or another musculoskeletal condition. Option C suggests possible cognitive decline or dementia, not specific to Parkinson's disease. Option D could indicate a different medical condition causing weight loss despite a good appetite. Therefore, A is the most suggestive of Parkinson's disease based on the symptom of bradykinesia.

Question 2 of 5

A clinic nurse is caring for a patient admitted with AIDS. The nurse has assessed that the patient is experiencing a progressive decline in cognitive, behavioral, and motor functions. The nurse recognizes that these symptoms are most likely related to the onset of what complication?

A. HIV encephalopathy B. B-cell lymphoma C. Kaposis sarcoma D. Wasting syndrome

Correct Answer: A

Rationale: The correct answer is A: HIV encephalopathy. This condition, also known as AIDS dementia complex, is characterized by progressive decline in cognitive, behavioral, and motor functions due to HIV affecting the brain. The onset of these symptoms in the patient is indicative of HIV encephalopathy. Explanation for why other choices are incorrect: B: B-cell lymphoma is a type of cancer that can occur in patients with AIDS, but it typically presents with symptoms related to lymph nodes or other organs, not cognitive decline. C: Kaposis sarcoma is a type of cancer caused by the human herpesvirus 8, and it typically presents with skin lesions or internal organ involvement, not cognitive decline. D: Wasting syndrome is characterized by severe weight loss, weakness, and loss of muscle mass, but it does not directly cause cognitive, behavioral, and motor decline as seen in HIV encephalopathy.

Question 3 of 5

A patient is using laxatives three times dailyto lose weight. After stopping laxative use, the patient has difficulty with constipation and wonders if laxatives should be taken again. Which information will the nurse share with the patient?

A. Long-term laxative use causes the bowel to become less responsive to stimuli, and constipation may occur. B. Laxatives can cause trauma to the intestinal lining and scarring may result, leading to decreased peristalsis. C. Long-term use of emollient laxatives is effective for treatment of chronic constipation and may be useful in certain situations. D. Laxatives cause the body to become malnourished, so when the patient begins eating again, the body absorbs all of the food, and no waste products are produced.

Correct Answer: A

Rationale: The correct answer is A. Long-term laxative use can lead to the bowel becoming less responsive to stimuli, resulting in constipation. This is due to the body becoming dependent on laxatives to stimulate bowel movements. Choice B is incorrect as laxatives typically do not cause trauma or scarring to the intestinal lining. Choice C is incorrect because while emollient laxatives can be helpful for constipation, long-term use is not recommended due to potential side effects. Choice D is incorrect because laxatives do not directly cause malnourishment or prevent waste production.

Question 4 of 5

A nurse is caring for a male patient with urinaryretention. Which action should the nurse takefirst?

A. Limit fluid intake. B. Insert a urinary catheter. C. Assist to a standing position. D. Ask for a diuretic medication.

Correct Answer: C

Rationale: The correct answer is C: Assist to a standing position. This action helps utilize gravity to aid in emptying the bladder and may help the patient void without the need for invasive measures like catheterization or medications. It is a non-invasive and natural approach to promote urination. Limiting fluid intake (A) could worsen the situation by concentrating urine and worsening retention. Inserting a urinary catheter (B) should be considered only if other measures fail. Asking for a diuretic medication (D) does not address the immediate need for bladder emptying and may not be necessary if the patient can void naturally.

Question 5 of 5

Massage around the feces and work down to remove.

A. 4, 1, 5, 2, 3, 6 B. 1, 4, 2, 5, 3, 6 C. 4, 1, 2, 5, 3, 6 D. 1, 4, 5, 2, 3, 6

Correct Answer: A

Rationale: The correct order for the massage is to start around the feces (4), then work downwards (1), followed by moving towards the sides (5), then back to the top (2), continuing to the sides again (3), and finally finishing at the top (6). This sequence ensures a thorough and effective massage process. Other choices have different orders that do not follow the logical flow of massaging around the feces and working down as specified in the question.

foundations of nursing practice questions

Skildor

ATI RN

ATI RN

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